Health Sciences Student Handbook 2021-2022 Diagnostic Medical Sonography

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Health Sciences
Student Handbook
   2021-2022

Diagnostic Medical
   Sonography
Table of Contents
Forward .............................................................................................................................. 4
College ............................................................................................................................... 4
   Mission, Vision, and Values............................................................................................ 4
   Leadership Team ............................................................................................................ 5
   Applying for Graduation .................................................................................................. 5
   Attendance Policy ........................................................................................................... 5
   Communication ............................................................................................................... 5
   Counseling & Advising .................................................................................................... 5
       Disability Support Services ......................................................................................... 5
       Accommodations......................................................................................................... 6
   Grades............................................................................................................................. 6
       Disputed Final Grades ................................................................................................ 6
       Incomplete Grades ...................................................................................................... 6
   Hardware Specifications ................................................................................................. 6
   Inclement Weather .......................................................................................................... 6
   Resources ....................................................................................................................... 6
       Financial Aid ................................................................................................................ 6
       Learning Skills Support Services ................................................................................ 6
       Medical Learning Center ............................................................................................. 6
       Student Health and Wellness ..................................................................................... 6
       Title IX & Sexual Discrimination Information .............................................................. 6
       TPSS Raptor Central .................................................................................................. 6
       Veterans and Military .................................................................................................. 6
       Virtual Tutoring ............................................................................................................ 6
   Student Complaint Resolution ........................................................................................ 6
   Student Code of Conduct ............................................................................................... 6
   Withdrawal from Classes ................................................................................................ 7
Health Sciences Department........................................................................................... 7
   Advising ........................................................................................................................... 7
   Blackboard ...................................................................................................................... 7
       Health Sciences Hub................................................................................................... 7
       Nursing Hub ................................................................................................................ 7
   Health Record Requirements ......................................................................................... 7

DMS Student Handbook_4-13-21                                                                                                           2
CastleBranch ............................................................................................................... 7
     CPR Certification ......................................................................................................... 7
     Criminal Background Check ....................................................................................... 7
     Drug & Alcohol Screening ........................................................................................... 8
     HIPAA / OSHA for Healthcare Workers ..................................................................... 8
     Physical Exam ............................................................................................................. 8
     Proof of Health Insurance ........................................................................................... 8
     Tuberculosis Screening .............................................................................................. 8
     Vaccinations / Proof of Immunity ................................................................................ 8
  Learning Skills Support Services.................................................................................... 8
  Parking & Transportation ................................................................................................ 9
  Pregnancy ....................................................................................................................... 9
Diagnostic Medical Sonography .................................................................................. 10
  Mission, Goals and Philosophy .................................................................................... 10
  Organizational Structure ............................................................................................... 11
  Accreditation ................................................................................................................. 11
  Program Outcomes....................................................................................................... 12
  Learning Outcomes ...................................................................................................... 12
  Program of Study .......................................................................................................... 15
  Grading Scale ............................................................................................................... 17
  Progression Policy ........................................................................................................ 18
  Course Policies ............................................................................................................. 18
  Lab and Clinical Policies ............................................................................................... 20
  Clinical Policies ............................................................................................................. 22
  Technical Standards ..................................................................................................... 32
  Associated Program Costs ........................................................................................... 34
  Professional Licensure / Certification ........................................................................... 34
Handbook Acknowledgement Page ............................................................................. 35

DMS Student Handbook_4-13-21                                                                                                       3
FORWARD

This Student Handbook is designed to provide Health Sciences students with a
reference manual that deals with policies and procedures for individual programs within
the Health Sciences Department. This Handbook serves to assist Health Sciences
students toward successful completion of their course of study by directing them to
College resources via webpage links [click on the blue, underlined text link to access
the specific webpage]. As such, it is intended to supplement, not replace the policy and
procedure publications to which all students of Montgomery College are subject, such
as the:
     • Current College Catalog
     • Current Semester Schedule of Classes
     • Student Handbook (Student Code of Conduct)
     • College Policy and Procedures
     • Academic Regulations
It is the responsibility of each student to review this Handbook regularly and to
understand it contents. It is the intention of this Handbook to eliminate the redundancy
some might find in course syllabi or course guides. Information, policies and procedures
that are relevant to all will be included in the first part of this Handbook. The second part
of this Handbook will deal specifically with individual Health Science Programs within
the Department. This Handbook should not be construed as constituting a contract,
express or implied, between the individual Health Science Programs and any person.
The statements and provisions of this Handbook are subject to change at the discretion
of the Health Sciences Department and/or individual Program without notice. The most
current version of this Handbook will be located on the website for individual Programs.

COLLEGE

       MISSION, VISION, AND VALUES

       More than just words, our mission, vision, and values reflect, in an inspiring way,
       who we are as an institution and why we are so dedicated to our students and
       their success. These aspirational standards set our priorities and drive our
       actions every day.

       OUR MISSION: We empower our students to change their lives, and we enrich
       the life of our community. We are accountable for our results.

       OUR VISION: With a sense of urgency for the future, Montgomery College will be
       a national model of educational excellence, opportunity, and student success.
       Our organization will be characterized by agility and relevance as it meets the
       dynamic challenges facing our students and community.

       OUR VALUES: Excellence, Integrity, Innovation, Diversity, Stewardship,
       Sustainability

DMS Student Handbook_4-13-21                                                                4
Leadership Team

DeRionne P. Pollard, PhD, President
Sanjay Rai, PhD, Senior Vice President for Academic Affairs
Monica Brown, EdD, Senior Vice President for Student Affairs
      Janee’ McFadden, Dean of Student Engagement and TPSS Student Affairs
      Alice Boatman, Associate Dean of Student Engagement & TPSS Student Affairs
Brad J. Stewart, PhD, Vice President/Provost, Communications, Health Sciences,
Health and Physical Education, and Humanities [Takoma Park/Silver Spring]
Monique Davis, PhD, MSN, RN, Collegewide Instructional Dean of Health Sciences
and Director of Nursing
Brenda Knopp, MSN, CNE, RN, Nursing Department Chair
Melissa Sprague, MSN, RN Health Sciences Department Chair

College
      Applying for Graduation :
      December Graduation: Apply between June 2 – October 1
      May Graduation: Apply between October 2 – February 15
      August Graduation: Apply between February 16 – June 1

      Attendance Policy: Academic Regulations Article 9.645; Students are expected
      to attend all class sessions. In cases involving excessive absences from class,
      the instructor may drop the student from the class, resulting in a grade
      determined in accordance with Academic Regulation 9.645. “Excessive absence”
      is defined as one more absence than the number of classes per week during a
      fall or spring semester (with the number of absences to be prorated for
      accelerated sessions).

      Communication

            EMAIL: Students and Faculty must use College email when corresponding
            via email. The College prohibits use of personal email accounts for
            College communication. Students are expected to check their email
            regularly. Students are held responsible for information, assignments, and
            announcements that are distributed via email. Please include your full
            name, MC ID number, and the course number for which you are currently
            enrolled. Students can anticipate 48-72 hour email response time from
            faculty / staff during business hours.

            MC ALERT: All students are encouraged to sign up for MC Alerts.

      Counseling & Advising:
           Disability Support Services: Students requesting reasonable
           accommodations related to a disability must self-identify and are

DMS Student Handbook_4-13-21                                                         5
encouraged to contact DSS as soon as possible after admission to the
             College. If eligible, must be completed each semester.
             Accommodations: Determined on a case by-case basis and may include
             extended time, note-taking assistance, sign language interpreting
             services, and alternative formats for printed materials.

      Grades Academic Regulations Article 6
           Disputed Final Grades
           Incomplete Grades

      Hardware Specifications: Technology will be a major component of your
           education at MC. The College identifies general technical requirements
           and minimal hardware specifications so that online learning is
           successful.

      Inclement Weather

      Resources

             Financial Aid
             Learning Skills Support Services
             Medical Learning Center
             Student Health and Wellness
             Title IX & Sexual Discrimination Information
             TPSS Raptor Central
             Veterans and Military
             Virtual Tutoring

      Student Complaint Resolution: In general, students are encouraged to
      approach their faculty member first to resolve their complaint. If the complaint
      cannot be resolved by the faculty member, then the student should address their
      complaint to the Department Chair. If the complaint still cannot be resolved, the
      complaint will be escalated to the Dean. Attempting to resolve a complaint at
      these levels will help assure timely resolution of student complaints.

      Student Code of Conduct: All students are expected to achieve their goals with
      academic honor. Cheating, plagiarism, and/or other forms of academic dishonesty or
      misconduct, examples of which can be found in the Student Code of Conduct, are not
      to be tolerated. A student who engages in any act that his or her classroom instructor
      considers academic dishonesty or misconduct is subject to any and all sanctions
      deemed appropriate by the classroom instructor. The classroom instructor determines
      student acts of academic dishonesty and misconduct, such as cheating, plagiarism,
      and any other form of academic dishonesty, common examples of which are cited in
      the Student Code of Conduct Section VIII. Grade sanctions may range from an “F” on
      the assignment in which the dishonesty occurred, to an “F” on a portion of the

DMS Student Handbook_4-13-21                                                               6
coursework, to a maximum sanction of an “F” in the course. The instructor may
      choose to impose a consequence other than grade sanctions and also has the
      prerogative of referring a case to the campus dean of student development, with a
      specific request that the dean consider imposing additional sanctions. The rights and
      responsibilities of both the course instructor and the student, as well as the
      procedures to be followed, are detailed in the Student Code of Conduct.

      Withdrawal from Classes Academic Regulations Article 4.10

Health Sciences Department

      Advising: Faculty provide program advising to current and prospective students.
      All students will meet with a program advisor by week 8 of the semester and are
      encouraged to seek advising as needed. Program advising should occur at least
      twice per semester.

      Blackboard: The College uses Blackboard as the designated Learning
      Management System. Students and faculty must self-enroll in the appropriate
      Hub to receive communications about learning resources, volunteer
      opportunities, and to complete mandatory training like HIPAA & OSHA
            Health Sciences Hub
            Nursing Hub

      Employment Policy: Students shall be treated as trainees who have no
      expectation of receiving compensation for clinical training or future employment
      from the clinical affiliate. In an effort to prevent role conflict, students employed
      with a clinical affiliate will not be assigned at their place of employment for their
      clinical rotation. Students must immediately notify the clinical coordinator if they
      are employed at any of our clinical affiliates.

      Health Record Requirements

      CastleBranch: Health Record Management System utilized by all Health Science
      programs and many clinical facilities

      CPR Certification: Proof of current CPR certification must be by the American
      Heart Association for the Basic Life Support/BLS- provider; no on-line classes
      accepted, blended (online AHA Heartcode with Face-to-Face skills testing)
      classes are acceptable.

      Criminal Background Check: A criminal background check is required by the
      clinical agencies and is handled by an external vendor. Currently, the vendor
      is CastleBranch, Inc. The background check must be completed to attend
      clinical. All students must complete this background check even if a background
      check has already been done by another vendor. This is

DMS Student Handbook_4-13-21                                                                  7
an annual requirement. You must address all “adverse” issues in a timely
      manner.

      Drug & Alcohol Screening: Drug and Alcohol screening is required and is
      handled by an external vendor, currently the vendor is Castle Branch, Inc. All
      students must complete this screening check even if a screening has already
      been done by another vendor. This is an annual requirement.

      HIPAA / OSHA for Healthcare Workers: All students will complete this module
      which includes Infection Control, Bloodborne Pathogens, Safety and test via
      Blackboard on the Health Science / Nursing Hub. This is an annual requirement.

      Physical Exam: A health history and physical exam with lab work for complete
      blood count (CBC) & routine urine analysis (UA are required to be admitted into
      health science programs. The physical exam is an annual requirement.

      Proof of Health Insurance: All clinical facilities require that students have health
      insurance. Students are required to upload a copy of their insurance card (front &
      back).

      Tuberculosis Screening: A two-step PPD test is required for all incoming
      students. The two PPD tests must be completed within 30 days from the first
      PPD. A single PPD test is then required annually. If the PPD is positive,
      documentation that the student is free of symptoms of TB is required and must
      be repeated yearly while the student is in the health cience program. A Positive
      PPD form is available on the Health Science Hub. Your healthcare provider must
      complete the Positive PPD form. Students may also submit lab results for the
      QuantiFeron TB Gold instead of the PPD.

      Vaccinations / Proof of Immunity: Students must provide proof of immunity to
      Measles, Mumps, Rubella, Varicella, and Hepatitis B. Proof of immunity is
      determined by a titer; a laboratory test that measures the presence of antibodies
      in the blood. If the titer is positive, the individual has immunity to the disease. A
      negative titer means there are inadequate antibodies present. Therefore, the
      individual is not immune and must receive the vaccination(s). In addition to the
      above vaccinations, students must receive Tetanus, diptheria, acellular pertussis
      (Tdap) vaccine every ten years and Seasonal Flu vaccine annually, usually from
      August – October.

      Learning Skills Support Services: Academic support for students enrolled in
      any health science program is available at the TPSS campus. Services can be
      customized based on student needs; individual academic study consultation and
      referrals to college resources. Workshops for time management, note-taking
      skills, effective study skills, test-taking skills, and organizational tactics are
      offered throughout the semester.

DMS Student Handbook_4-13-21                                                              8
MC ID: All students and faculty are required to wear their MC photo ID and
      present the ID upon entering the Health Sciences building.

      Parking & Transportation: Students must provide their own transportation to
      and from campus and their clinical assignment. Students are responsible for any
      parking fees incurred. Students are expected to display MC parking permit when
      parking on campus.

      Pregnancy: A student who is, or becomes, pregnant is strongly encouraged to
      notify her course instructors and/or the Title IX Coordinator as soon as possible.
      By doing so, the student and instructors and the Title IX Coordinator can
      collaborate and develop an appropriate plan for the continuation of the student's
      education in light of the unique nature of the College's nursing and health
      sciences programs and their clinical requirements, as well as particular
      challenges the student may face while pregnant or when recovering from
      childbirth (e.g., missed classes, make-up work, etc.). However, the choice to
      declare a pregnancy is voluntary, and a student is not required to disclose this
      information to the College. The College cannot ask the student to provide
      medical documentation or clearance for participation in clinical, however, the
      student is reminded that the program has Technical Standards that each student
      must meet to ensure the safety of students and patients. Students should consult
      with their healthcare provider to determine if they meet those Technical
      Standards. TitleIX@montgomerycollege.edu

DMS Student Handbook_4-13-21                                                           9
Diagnostic Medical Sonography

Mission, Goals and Philosophy

The philosophy and goals of the program interface with those of Montgomery
College itself. The Program of Diagnostic Medical Sonography shares these goals,
promoted by the college in its support of professionalism and academic excellence
and the provision of qualified faculty. We offer a carefully designed academic
environment, opportunities for on and off-campus reinforcement of lecture material
(including clinical practicum) as well as other opportunities for professional and
personal growth and development.
Any student who completely meets these standards (covered on the succeeding
pages) and who is eligible for graduation should be able to function within a clinical
setting as an entry level diagnostic medical sonographer.
Humanistic attitudes such as empathy, compassion and trust are fostered in both
the didactic and clinical areas. The faculty believes that humanistic qualities are of
key importance in any allied health profession. Through the cultivating of
interpersonal relationships with patients and fellow health-care professionals, self-
awareness and self-actualization may be enhanced.
The faculty constructs behavioral and performance goals throughout the program to
produce graduates who are highly proficient and competent in the art and science
of sonography.

Students will become knowledgeable in the theoretical foundation of their
profession and become capable of functioning in a variety of clinical settings,
which utilize the latest state-of- the-art imaging equipment and modalities.
As in any learning experience, Diagnostic Medical Sonography Program faculty will
play the role of facilitator to the student. A competency-based program in which the
didactic and clinical instruction is closely correlated will help students develop into
professionals who are proficient in the art of problem solving. The faculty guides and
directs the students in discovering the role that they must play by assisting them to
actively participate and become responsible for their learning process in order for them
to become proficient as practicing sonographers.
Finally, the program faculty feels that certification by the American Registry of
Diagnostic Medical Sonographers is the “gold standard” for certification and should be
an immediate goal of every graduate of this program. This certification plays a pivotal
role in creating employment opportunities as well as other opportunities to contribute
to the profession. The DMS Program encourages its graduates to complete their
board requirements and take their exams within six months after graduation. Beyond
this period, anyone who has completed the program and has not taken the board
exams are advised to re-enroll or to form study circles to equip themselves with the
necessary tools to pass the board exams. Graduates should be willing to share their
knowledge with fellow sonographers, future and current students, and other allied
health workers. Continuing education will enable these emerging sonographers to
assume higher levels of responsibility in their employment setting, thereby creating
opportunities for advancement up the corporate ladder.

DMS Student Handbook_4-13-21                                                             10
The goal of the DMS Program is to:
      To prepare competent entry-level adult cardiac sonographers in the
      cognitive (knowledge), psychomotor (skills), and affective (behavior)
      learning domains; and/or

       To prepare competent entry-level general sonographers in the
       cognitive (knowledge), psychomotor (skills), and affective (behavior)
       learning domains; and/or

       To prepare competent entry-level vascular sonographers in the
       cognitive (knowledge), psychomotor (skills), and affective (behavior)
       learning domains

Organizational Structure

 Linda Zanin, RDMS                            Lee Shryock, RDMS
 Program Coordinator; Co-Program              Clinical Coordinator
 Director (Concentration Coordinator)         Co-Clinical Coordinator General
 General Sonography                           Sonography

 Matt Theis, RVT                              Biruk Teklehaymanot, RDCS
 Co-Program Director (Concentration           Co-Program Director (Concentration
 Coordinator)                                 Coordinator)
 Co-Clinical Coordinator Vascular             Co-Clinical Coordinator
 Sonography                                   Echocardiography

Accreditation

Montgomery College is accredited by the Middle States Association of Colleges and
Secondary Schools, and the Program of Diagnostic Medical Sonography is
accredited by the Commission on Accreditation of Allied Health Educational
Programs (CAAHEP).
The Program of Diagnostic Medical Sonography is designed to meet or exceed the
standards set by CAAHEP. Any student who completely meets these standards
(covered on the succeeding pages) and who is eligible for graduation should be able
to function within a clinical setting as an entry level diagnostic medical sonographer.

The Diagnostic Medical Sonography Program is accredited by the Commission on
Accreditation of Allied Health Education Programs (CAAHEP) upon the
recommendation of the Joint Review Committee on Education in Diagnostic Medical
Sonography (JRC-DMS). Additional information on the DMS program accreditation
status and the standards and guidelines may be obtained online at www.caahep.org or
by submitting a request to: CAAHEP, 9355 113th St. N, #7709, Seminole, FL 33775.

DMS Student Handbook_4-13-21                                                              11
Requests for information can be sent to: JRC-DMS, 6021 University Boulevard, Suite
500, Ellicott City, MD 21043.

Program Outcomes

   Upon completion of this program a student will be able to:

   A. Obtain, review, and integrate pertinent patient history and supporting clinical data to
      facilitate optimum diagnostic results.
   B. Perform appropriate procedures and record anatomical, pathological, and/or
      physiological data for interpretation by a physician.
   C. Record, analyze, and process diagnostic data and other pertinent observations made
      during the procedure for presentation to the interpreting physician.
   D. Exercise discretion and judgment in the performance of sonographic and/or other
      diagnostic services.
   E. Demonstrate appropriate communication skills with patients and colleagues.
   F. Act in a professional and ethical manner.
   G. Provide patient education related to medical ultrasound and/or other diagnostic
      vascular techniques and promote principles of good health.

Learning Outcomes

   Knowledge gained in the clinical setting is directly related to didactic
   education and will need to be retained in order to draw and maximize direct
   parallels.
   1. Demonstrate knowledge and application of ergonomic techniques
        ● Industry standards and OSHA guidelines.
        ● Types of work-related musculoskeletal injuries (MSI).
        ● Best practices for prevention of MSI.

   2. Demonstrate knowledge and application of types and methods of
      infection control.
          ● Standard precautions relating to patient safety, isolation
              procedures, aseptic and sterile technique, equipment,
              environment, and personal safety.
          ● Use and to dispose properly materials used in a surgical or non-
              surgical procedure that require ultrasound imaging.

   3. Demonstrate knowledge and application of patient care.
        ● Compliance with program and clinical education facility policies and
           procedures.
        ● Compliance with clinical education facility policies and
           procedures with respect to Patient Bill of Rights and patient
           directives.
        ● Knowledge of medical/legal implications of patient
           interaction/management.

DMS Student Handbook_4-13-21                                                               12
● Recognize life-threatening situations and ability to implement emergency
           care.
         ● Formulate questions that would draw pertinent information from the
           patient.
         ● Anticipate and be able to respond to the needs of the patient.

   4. Demonstrate interpersonal skills that build rapport and empathetic
      communications with patients and their families across socioeconomic,
      racial, and cultural boundaries.
         ● Provide patient-focused care with respect to for parent’s
              biological differences, diversity, and needs.
         ● Recognize differences in belief systems, values, languages,
              religions, and health practices that influence the medical care of
              culturally diverse populations. Provide compassionate treatment of
              patients and respect for their privacy and dignity.
         ● Build rapport, and employ active listening to communicate
              compassionately, effectively, and in culturally and emotionally
              appropriate ways, both verbally and in writing, with patients, their
              families and colleagues.
         ● Reporting and documentation of incidents and/or adverse reactions.

   5. Demonstrate comprehension and application of medical ethics and law.
        ● Uphold a patient's right to privacy and adhere to HIPAA guidelines.
        ● Follow procedure and adhere to electronic documentation and
           transmission of medical records.
        ● Uphold risk management.
        ● Acquire Informed consent.
        ● Documentation of clinical incidents.
        ● Adhere to professional scope of practice and clinical standards,
           and professional code of ethics.

   6. Demonstrate comprehension and application of diagnostic medical sonography.
        ● Knowledge of sonographic procedures.
        ● Correlating diagnostic and imaging procedures.
        ● Recognition of sonographic appearances of normal and abnormal
           conditions.

   7. Obtain, interpret, document and communicate relevant information
      related to examinations.
          ● Present documented images to a radiologist for evaluation.
          ● Clinical information and historical facts from the patient and the
             medical records, which may affect the diagnostic examination.
          ● Review results of previous studies relevant to the current case.
          ● Measure anatomy and distinguish when an organ has pathologic
             conditions.
          ● Examination findings that require immediate clinical response

DMS Student Handbook_4-13-21                                                         13
and notify the interpreting physician.

       8.   Demonstrate awareness of roles and responsibilities.
            ● Demonstrate awareness of roles and responsibilities of
              healthcare professions to effectively communicate and
              collaborate in the healthcare environment.
            ● Utilize skills that support team development, conflict
              resolution and inter- professional communication and
              education.
            ● Communicate effectively with patients and other health care
              professionals.
            ● Work effectively as a member of a healthcare team.

      9. Identify and evaluate anatomic structures.
            ● Knowledge of anatomy, physiology and pathophysiology.
            ● Normal sonographic appearances of tissue, muscles and skeletal
                 structures.
            ● Differentiation of normal from abnormal sonographic findings.
            ● Demonstrate knowledge of clinical disease processes
                 with application to sonographic and Doppler patterns.

      10. Demonstrate knowledge, comprehension, and application of biological
          effects.
              ● Always follow ALARA principles when scanning.

      11. Demonstrate knowledge, comprehension, and application of
          image production and optimization.
             ● Produce an ultrasound image of diagnostic quality.
             ● Knowledge of ultrasound physics.
             ● Properly identify Doppler waveforms and determine their significance.
             ● Accurately determine abnormal flow of hemodynamic significance.

      12. Demonstrate performance through clinical competencies.
            ● Assist a qualified sonographer or medical practitioner with
               ultrasound imaging and/or procedures.
            ● Use clinical tracking through Trajecsys.
            ● Use of proper ergonomics.
            ● Follow all safety and infection control procedures and policies.
            ● Obtain and apply clinical history.
            ● Successfully use oral and written communication skills.
            ● Demonstrate image optimization techniques.
            ● Act in a professional manner at all times.
            ● Document sonographic findings for communication with interpreting
               physician.
            ● Finalize examination for permanent storage.
            ● Follow process for reporting of critical findings.

DMS Student Handbook_4-13-21                                                       14
Program of Study

      General Education Requirements
      Foundation Courses
      English foundation 3 semester hours (ENGF)
      Mathematics foundation 3 semester hours (MATF)
      Distribution Courses
      BIOL 150 - Principles of Biology I 4 semester hours (NSLD)
      COMM 108 - Foundations of Human Communication 3 semester hours
      (ARTD/HUMD)
      PSYC 102 - General Psychology 3 semester hours (BSSD)
      General Education Elective
      BIOL 212 - Human Anatomy and Physiology I 4 semester hours (GEEL)
      Other Requirements
      BIOL 213 - Human Anatomy and Physiology II 4 semester hours
      (NSLD)
      HINM 115 - Medical Terminology I 2 semester hours
      HINM 116 - Medical Terminology II 2 semester hours
      HINM 120 - Concepts of Disease 3 semester hours
      PHYS 103 - Introduction to Physics 2 semester hours

      General Sonography Area of Concentration

      First Semester – Summer I
      SONO 101 - Orientation to Diagnostic Medical Sonography 3 semester hours
      Second Semester – Fall I
      SONO 105 - Acoustical Physics I 2 semester hours
      SONO 204 - Introduction to Sectional Anatomy 3 semester hours
      SONO 261 - Sonography Practicum I 1 semester hour
      Third Semester – Spring I
      SONO 112 - Abdominal Sonography I 3 semester hours
      SONO 123 - Obstetrics/Gynecology Sonography I 3 semester hours
      SONO 205 - Acoustical Physics and Instrumentation II 2 semester hours
      SONO 262 - Sonography Practicum II 1 semester hour
      Fourth Semester – Summer II
      SONO 263 - Sonography Practicum III 2 semester hours
      Fifth Semester – Fall II
      SONO 264 - Sonography Practicum IV 4 semester hours
      SONO 232 - Abdominal Sonography II 3 semester hours
      SONO 243 - Obstetrics/Gynecology Sonography II 3 semester hours
      Sixth Semester – Winter II
      SONO 224 - Seminar-Diagnostic Medical Sonography 1 semester hour
      SONO 265 - Sonography Practicum V 1 semester hour
      Seventh Semester – Spring II
      SONO 210 - Breast Sonography 1 semester hour
      SONO 266 - Sonography Practicum VI 4 semester hours

DMS Student Handbook_4-13-21                                                     15
Total Credit Hours for General Sonography Area of Concentration: 70

      Echocardiography Area of Concentration

      First Semester – Summer I
      SONO 101 - Orientation to Diagnostic Medical Sonography 3 semester hours
      Second Semester – Fall I
      SONO 105 - Acoustical Physics I 2 semester hours
      SONO 204 - Introduction to Sectional Anatomy 3 semester hours
      SONO 261 - Sonography Practicum I 1 semester hour
      Third Semester – Spring I
      SONO 205 - Acoustical Physics and Instrumentation II 2 semester
      SONO 262 - Sonography Practicum II 1 semester hour
      Fourth Semester – Summer II
      SONO 263 - Sonography Practicum III 2 semester hours
      SONO 245 - Adult Echocardiography I 3 semester hours
      Fifth Semester – Fall II
      SONO 264 - Sonography Practicum IV 4 semester hours
      SONO 229 - Pediatric Echocardiography 3 semester hours
      SONO248 - Adult Echocardiography II 3 semester hours
      Sixth Semester – Winter II
      SONO 224 - Seminar-Diagnostic Medical Sonography 1semester hour
      SONO 265 - Sonography Practicum V 1 semester hour
      Seventh Semester – Spring II
      SONO 266 - Sonography Practicum VI 4 semester hours
      Total Credit Hours for Echocardiography Area of Concentration: 66

      Vascular Area of Concentration

      First Semester – Summer I
      SONO 101 - Orientation to Diagnostic Medical Sonography 3 semester hours
      Second Semester – Fall I
      SONO 105 - Acoustical Physics I 2 semester hours
      SONO 204 - Introduction to Sectional Anatomy 3 semester hours
      SONO 261 - Sonography Practicum I 1 semester hour
      Third Semester – Spring I
      SONO 205 - Acoustical Physics and Instrumentation II 2 semester
      SONO 262 - Sonography Practicum II 1 semester hour
      SONO 246 - Vascular Sonography I 3 semester hours
      Fourth Semester – Summer II
      SONO 263 - Sonography Practicum III 2 semester hours
      Fifth Semester – Fall II
      SONO 264 - Sonography Practicum IV 4 semester hours
      SONO 256 - Vascular Sonography II 3 semester hours
      Sixth Semester – Winter II
      SONO 224 - Seminar-Diagnostic Medical Sonography 1semester hour

DMS Student Handbook_4-13-21                                                     16
SONO 265 - Sonography Practicum V 1 semester hour
      Seventh Semester – Spring II
      SONO 266 - Sonography Practicum VI 4 semester hours
      Total Credit Hours for Vascular Area of Concentration: 63

The Diagnostic Medical Sonography curriculum is dependent upon proper
sequencing of courses. The general education courses in the DMS curriculum
are to be completed prior to the DMS program. SONO courses must also be
completed in the appropriate sequence. It is the responsibility of each student
to meet all pre- and co-requisite courses and third-party requirements. A
student will be denied registration and administratively dropped from a course
if pre- and co-requisite requirements have not been met.

Grading Scale

The DMS Program percentage and letter-grading system is as follows:
Students receiving a grade below a 78% in a didactic course must repeat the
course satisfactorily before proceeding to the next semester in the DMS
Program. Students receiving a grade below an 86% in a clinical course must
repeat the course satisfactorily before proceeding to the next semester in the
DMS Program.

Each Scanning Lab Assignment and Clinical Competency must meet the
minimum benchmark (see scanning lab rubric grading criteria) to demonstrate
scanning competency with a minimum grade of 86%. Successful completion of
ALL Scanning Lab Assignments and Clinical Competencies is required for
completion of the didactic and/or clinical course.

Students receiving a grade below a 78% on a midterm and/or final exam are required to
remediate the exam (See Remediation Policy in course syllabus). Failure to
remediate a midterm or final exam with a grade below a 78% will lead to the
unsuccessful completion of this course.
Students receiving a grade below an 86% on a clinical scan exam are
required to remediate the scan exam (See Remediation Policy) Failure to
remediate a scan exam with a grade below an 86% will lead to the
unsuccessful completion of this course.

Provided (Below) is the grading scale used for all Didactic courses in the DMS
Program. Course grades are not rounded up.

93-100%         A
86-92%          B
78-85%          C
77% below       F

DMS Student Handbook_4-13-21                                                       17
Provided (Below) is the grading scale used for all Clinical courses in the DMS
Program. Course grades are not rounded up.

93-100%         A
86-92%          B
85%-below       F

Students must maintain a minimum grade of “C” in all Diagnostic Medical
Sonography Didactic courses, a minimum grade of “B” in Clinical courses and
maintain an overall grade point average of 2.0 to be considered in good
standing in the program and eligible to advance to the next semester.
In all clinical courses, the student, at the end of the course, must pass a scan
exam with a grade of 86% or higher. Students not meeting all above criteria will
not be permitted to continue taking DMS courses. Since DMS courses usually
are offered once a year, students who fail can continue with their general
education courses in the curriculum and may apply for readmission into the
program the following year. (Refer to Readmission Policy in course syllabus).

Progression Policy

The Diagnostic Medical Sonography curriculum is dependent upon proper
sequencing of courses. The general education courses in the DMS curriculum
are to be completed prior to the DMS program. SONO courses must also be
completed in the appropriate sequence. It is the responsibility of each student
to meet all pre- and co-requisite courses and third-party requirements. A
student will be denied registration and administratively dropped from a course
if pre- and co-requisite requirements have not been met.
The student is to meet with their designated faculty advisor to plan a course of
study for each year while in attendance at Montgomery College. Any student
who is unable to satisfactorily meet curriculum requirements will not progress in
the DMS curriculum. Any student who withdraws from the DMS Program,
regardless of the reason, will be subject to readmission criteria as set by the
Diagnostic Medical Sonography program. Meeting previously established
criteria, however, does not guarantee automatic re-entry.
Progression in the DMS program is dependent on the successful completion of
the ARDMS SPI exam prior to the start of their second year of study in the
program.
Students are required to sit for all eligible concentration specialty exam(s) prior
to graduation.

Course Policies

The DMS program at Montgomery College offers all its professional courses
(SONO courses) via Blackboard platform. Our professional course of study
uses online learning modules combined with face-to-face hands-on scanning

DMS Student Handbook_4-13-21                                                          18
labs. Most of the hybrid online learning courses at Montgomery College,
including the DMS courses, are a combination of synchronous (face-to-face in
the classroom/lab) and asynchronous learning (material posted on Blackboard).
Asynchronous is defined as course material that is not delivered in real time
and is delivered via Blackboard. Students sign on to a Montgomery College
Blackboard where they access the syllabus and other course materials,
participate in discussion forums, complete quizzes and tests, upload
assignments and collaborate with the instructor and other students. In addition
to course delivery through Blackboard, each SONO course has required face-
to-face lecture/lab (on-campus) as part of the learning experience.

In addition to the Blackboard format, MCDMS students are introduced to
online tools such as Wiki’s and the Trajecsys Clinical Tracking System.

Exam Policies -
Click on the Course Content tab to find the Module test. All testing will be proctored
virtually via Zoom. Everything presented, discussed and reviewed during the week
(and/or prior week) may be included on the test. Tests are intended to test your
knowledge and experience. Tests are timed and approximately 1 minute is provided for
each question. Testing must be completed in one sitting and once the time has expired,
Blackboard will automatically submit your test. MAKE SURE TO SAVE as you progress
through a test or answer selections will be lost.

   Testing Day Policies
   1. All testing is completed online via Zoom and will be proctored by the MLC and
      DMS faculty.
   2. A student arriving late for a test must complete the test in the remaining
      scheduled time.
   3. A student arriving late for a test MAY be denied access to the test if they are
      more than 15 minutes late.

   Test Review Policy
   Students are encouraged to review questions missed on tests. Review of tests will
   take place immediately following virtually testing. Students have 30 minutes to
   review questions missed and one week from posted grade to petition for points
   missed. Faculty will not entertain giving points back on any graded work after one
   week from when the grade is posted.
   Do not attempt to review during/immediately following a scheduled test time,
   students must wait until the test period is over. Copying of any test questions is
   considered cheating, as you cannot copy and paste from any test at any time in this
   course. Giving or receiving of test questions is considered cheating.

   Note: Refer to the course schedule for the due dates; any changes to the schedule
   will be placed in the announcements. NO test grade will be dropped; and tests may
   NOT be repeated at the student’s request to raise a grade.

DMS Student Handbook_4-13-21                                                            19
Lab and Clinical Policies

   A. The following criteria must be adhered to in all clinical Diagnostic Medical
      Sonography courses in order to receive a satisfactory performance
      evaluation. Failure to meet these criteria may be identified by any DMS
      program faculty member, both in or out of the clinical facility, and will
      subject the student to immediate and appropriate disciplinary
      consequences.

      1.  Adhere to all college policies, including the MC Student Code of Conduct.
      2.  Adhere to the student role, as outlined by clinical affiliates.
      3.  Adhere to the SDMS Code of Ethics for sonographers.
      4.  Dress appropriately in accordance with the clinical DMS Uniform
          Code and/or the assigned clinical affiliate.
      5. Follow HIPPA guidelines, regarding patient confidentiality, always.
      6. Demonstrate respect for patient privacy and individual rights as
          outlined in the Patient’s Bill of Rights.
      7. Deliver optimum patient care in a non-discriminatory manner.
      8. Document all services provided using proper (Standard American)
          English (verbal and written).
      9. Report immediately, any errors of omission to the program director.
      10. Adhere to OSHA regulations.
      11. Demonstrate an ability to communicate accurately in (Standard American)
          English.
      12. Demonstrate physical, cognitive and psychological competence.
      13. Demonstrate a caring, empathetic and non-selfish attitude with
          proper consideration for individual’s age, sex, culture, religion and
          beliefs.
      14. Show respect for individuals and avoid the use of words or body
          language that could be construed as derogatory.
      15. Have reliable means of transportation.
      16. Physically able to perform ultrasound.
      17. Utilize the internet or websites to search for information pertaining to
          ultrasound.
      18. All graded work is due before the final week of the semester. Work not
          completed by this due date will be recorded as a zero. All coursework must
          be completed prior to sitting for the Final Exam in didactic courses and before
          sitting for the scan exam in clinical courses.

   B. Scan Lab Assignments are to be completed during face-to-face lab sessions
      under faculty supervision. Scanning Lab Protocols should be followed when
      completing these assignments. The scanning Lab Protocols can be found under
      the Required Course Materials tab. For a complete listing of the required lab
      assignments and their due dates click on the Course Content tab and under each
      Weekly Module you will find scanning lab assignment due dates.

DMS Student Handbook_4-13-21                                                           20
1. A grade of 86% or better must be received on each scanning lab assignment
         or the assignment will have to be repeated.
      2. Scan lab assignments are competency-based, you must continue to attempt
         them until you receive a passing grade.
      3. All scan lab assignments must be completed successfully to pass this course.
      4. The Scanning Lab Assignment Grading Rubric can be found in the course
         syllabus and as an active link under each Scanning Lab Assignment.
      5. Scanning lab assignments must be submitted within one week of the date the
         lab assignment is completed (don’t hold onto lab assignments, once you
         complete them you need to turn them in to be graded) and they must be
         turned in by the due date.
      6. Multiple attempts on Lab assignments may be required to receive a passing
         grade of 86%. Once the Lab Assignment has received a passing grade of
         86%, all the attempts will be averaged together for the final grade assigned to
         that individual lab assignment. The final grade for each lab assignment may
         not be an 86% (that’s ok) but at least one attempt has to be recorded at the
         86% mark)
      7. Students should try and scan multiple volunteers. Make sure to document the
         following information for all scanning work:
         • Date/time
         • Volunteer identifier
         • Integrated Patient History, Clinical Data and Ultrasound Findings Report
         • Make sure lab assignments in Blackboard are the images you want us to
             review, no extra images. The lab assignments we grade must be no older
             than seven days.
         • Label all studies in this format: Last Name Title of Lab Assignment date
         • AT NO TIME CAN YOU ADD IMAGES TO A LAB ASSIGNEMENT THAT
             WAS TAKEN AT A DIFFERENT TIME and/or FROM A DIFFERENT
             PATIENT. If you turn in a lab assignment to be graded that has images
             from multiple different scanning attempts a grade of “zero” will be
             recorded.

   C. Required & Optional Skills Enhancement Labs
      1. Each Student is assigned an SEL that they are required to attend. In addition
         to the required SEL session, there are Optional SELs offered.
      2. SEL is intended to provide additional opportunity for practice. Students are
         encouraged to attend to enhance their ultrasound skills. Students are required
         to provide their own volunteers to scan.
      3. A published SEL schedule and sign-up with supervising instructor/dates/times
         can be found on the clinical wiki. http://mcdmsclinical.pbworks.com/ .
         Remember to read and abide by the SEL rules stated on the clinical wiki
         page.
      4. Important: Students may only attend Optional SELs supervised by faculty who
         hold the concentration credential for their specialty (RDMS, RDCS, RVT).
         This is to ensure that supervision and scanning guidance can be provided.

DMS Student Handbook_4-13-21                                                          21
D. Volunteer Scanning Policy on Campus in DMS Lab
      1. DMS faculty and Staff are not permitted to volunteer to be scanned.
      2. Volunteers scanned in the lab do not count as graded competencies.
      3. Scanning volunteers and students are subject to laboratory guidelines
         and safety requirements.
      4. Transvaginal/Breast/Scrotal scanning requires a chaperone in lab.
      5. All Obstetric (OB) scan volunteers are scheduled through the DMS
         Administrative Assistant. All volunteers must complete required
         paperwork, read, and sign the Scan Waiver Forms prior to being
         scanned. Each volunteer will be pre-scanned by the supervising
         DMS faculty. OB scan volunteers need to have at least one
         complete unremarkable OB sonogram performed by their OB/Gyn
         Doctor prior to volunteering to be a scan volunteer.

Clinical Policies

   A. Competency based clinical education has been established for the
      students enrolled in the Diagnostic Medical Sonography program. It is
      designed to permit accurate assessment of the knowledge, skills, and
      attitudes of students in the clinical education component of the
      program. Evaluation of students’ clinical competencies must be
      completed by registered technologists under the direction of the Clinical
      Affiliate Supervisor.

      All students must attend a minimum number of clinical training hours
      (see clinical syllabus). All students must complete clinical competencies
      in accordance with the requirement of their certification body.

   B. Clinical Absences
      All students must meet the required clinical hours. When a student will
      be absent from the assigned clinical site, the student must first notify the
      Clinical Instructor, followed by immediate communication to the Clinical
      Faculty and Clinical Coordinator. Absences from clinical must be made
      up as soon possible or within two weeks whichever is soonest. Students
      who have not completed their clinical hours within the clinical rotation
      period will not be allowed to advance to the next clinical course or in the
      case of the final clinical course; they will not be approved for graduation.
      In the event of a delay in graduation, successfully completed board
      exams completed are revoked by the ARDMS. The student will be
      responsible to reapply, purchase and successfully complete the
      concentration specialty board exams.

   C. Clinical Education Objectives
      Clinical - Fall Semester I
      At the completion of the first clinical rotation, the student must

DMS Student Handbook_4-13-21                                                         22
demonstrate by verbal, written and scanning performances,
      competency with the following skills:
         ● Provide basic patient care and comfort.
         ● Maintain infection control and utilize universal precautions.
         ● Demonstrate and characterize the sonographic patterns of
           normal abdominal pelvic anatomy from ultrasound images
           using ultrasound terminology.

      Clinical – Spring Semester I
      At the completion of the second clinical rotation, the student must
      demonstrate by verbal, written and scanning performances, competency
      with the following skills:
          ● Acquire basic sonographic exam skills and relate these with
             didactic education through clinical observation and applied
             hands-on experience in the optional scan lab.
          ● Provide basic patient care and comfort.
          ● Maintain infection control and utilize universal precautions.
          ● Demonstrate knowledge and understanding of
             physiology, pathology, and pathophysiology.
          ● Demonstrate knowledge and understanding of human gross and sectional
             anatomy.

      Clinical - Summer Semester I
      At the completion of the third clinical rotation, the student must
      demonstrate by verbal, written and scanning performances,
      competency with the concentration specialty skills (see clinical
      syllabus).
          ● Recognize and identify the sonographic appearance of
             normal anatomic structures, including anatomic variants and
             normal Doppler patterns:
          ● Recognize, identify, and appropriately document the abnormal
             sonographic of disease processes, pathology, and
             pathophysiology of the anatomy listed.
          ● Modify scanning protocols based on sonographic findings and differential
             diagnosis:
          ● History and physical examination related imaging, laboratory,
             and functional testing procedures
          ● Clinical differential diagnosis
          ● Role of ultrasound in patient management
          ● Recognize and identify sonographic patterns in clinical diseases
          ● Provide basic patient care and comfort
          ● Maintain infection control and utilize universal precautions

      Clinical - Fall Semester II
      At the completion of the fourth clinical rotation, the student must
      demonstrate by verbal, written and scanning performances, competency

DMS Student Handbook_4-13-21                                                       23
with the following skills:
         ● Recognize significant clinical information and historical facts
             from the patient and the medical records, which may affect the
             diagnostic examination.
         ● Acquire proficiency in evaluating sonograms for image quality.
         ● Demonstrate knowledge and understanding of
             physiology, pathology, and pathophysiology.
         ● Effectively utilize instrumentation techniques to produce optimum
             diagnostic images of a more complex nature.
         ● Extend standard diagnostic testing protocol as required by
             patient history or initial findings.
         ● Perform within the scope of practice.
         ● Successfully complete all clinical competencies.

      Clinical - Winter Semester II
      At the completion of the fifth clinical rotation, the student must
      demonstrate by verbal, written and scanning performances,
      competency with the following skills:
          ● Interact with the interpreting physician with oral or written
             summary of findings as permitted by clinical affiliate.
          ● Recognize significant clinical information and historical facts
             from the patient and the medical records, which may affect the
             diagnostic examination.
          ● Demonstrate proficiency in evaluating sonograms for image quality.
          ● Effectively utilize instrumentation techniques to produce optimum
             diagnostic images of a more complex nature.

      Clinical – Spring Semester II
      At the completion of the sixth clinical rotation, the student must
      demonstrate by verbal, written and scanning performances,
      competency with the following skills:
          ● Recognize significant clinical information and historical facts
             from the patient and the medical records, which may affect the
             diagnostic examination. Identify life-threatening situations and
             implement emergency care as permitted by clinical affiliate.
          ● Review data from current and previous examinations to produce a
             written/oral summary of technical findings, including relevant
             interval changes, for the interpreting physician's reference.
          ● Recognize examination findings that require immediate clinical
             response and notify the interpreting physician of such findings.
          ● Perform within the scope of practice.

DMS Student Handbook_4-13-21                                                     24
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